Certification Specialist
WiskSalary not specified
Full Time
Senior (5 to 8 years), Expert & Leadership (9+ years)
$48,000 – $60,000Compensation
Entry Level & New GradExperience Level
Full TimeJob Type
UnknownVisa
HealthcareIndustries
Requirements
- High School Diploma or equivalent required
- 1-2 years of customer service experience required
- Relative reimbursement and/or billing and collections experience preferred
- Working knowledge of MS Office and the ability to navigate multiple platforms
- Familiar with medical terminology and insurances HCPCS/ICD-10 codes
Responsibilities
- Answer questions from customers, clerical staff, insurance companies and physician offices
- Make outbound calls to obtain appropriate documentation for reimbursement of orders shipped
- Utilize resources to identify and resolve customer issues or reimbursement discrepancies
- Verify customer benefits via phone, fax, and web portal
- Submit authorizations or pre-certification requests to multi-state payers over multiple platforms
- Communicate effectively and professionally with customers, teammates, healthcare professionals, and sales team
- Review and approve documentation received by third parties for submission to payors for reimbursement
- Effectively document activities in ERP system in an accurate and timely manner
- Consistently meet and attain required Key Performance Indicators (KPIs)
- Read, understand and follow oral and written instructions and guidelines
- Triage priorities and meet daily and weekly deadlines
Skills
Insurance Verification
Customer Service
Verifying Coverage
Benefits Verification
Authorization
Reimbursement
Documentation
Communication
Owens & Minor
About Owens & Minor
N/AHeadquarters
N/AYear Founded
N/ACompany Stage
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